HCIM

HCIM will be hosting a 30-45 minute training webinar to introduce you to SymKey^® for EZ-CAP^® v. 1.31 and to answer any questions you may have. For your convenience, we have scheduled three webinar sessions over the course of three days. If you would like to attend, please click the GoToMeeting link for the time that is most convenient for you and your team.

About SymKey^® for EZ-CAP^® v. 1.31

Many enhancements have been made to SymKey^® for EZ-CAP^® v. 1.30, including two new advanced standard scenario actions, a new scenario summary feature, and more. For a comprehensive list of enhancements and software corrections, download the “SymKey^® for EZ-CAP^® v. 1.31 General Release” PDF by clicking on the link below. An updated “SymKey^® for EZ-CAP^® v. 1.31 Scenarios Summary” is also available for download.

Downloads

SymKey® for EZ-CAP® v. 1.31 General Release.pdf
SymKey® for EZ-CAP® v. 1.31 Scenarios Summary.pdf

Scheduling

Please click the following GoToMeeting link to join the webinar of your choice.

 https://www2.gotomeeting.com/join/659419146

Tuesday           April 20, 2010      9:00 a.m. PDT
Wednesday       April 21, 2010      1:00 p.m. PDT
Thursday          April 22, 2010      1:00 p.m. PDT

Use your microphone and speakers (VoIP) – a headset is recommended. Or, call in using your telephone:
Dial 916-233-3082
Access Code: 659-419-146
Audio PIN: Shown after joining the meeting

Meeting ID: 659-419-146

HealthCare Information Management, Inc. (HCIM) is pleased to announce the general release of SymKey^® for EZ-CAP^® version 1.31, effective April 7, 2010. Many enhancements have been made to SymKey^® for EZ-CAP^® v. 1.30, including two new advanced standard scenario actions, a new scenario summary feature, and more. For a comprehensive list of enhancements and software corrections, download the “SymKey^® for EZ-CAP^® v. 1.31 General Release” PDF by clicking on the link below. An updated “SymKey^® for EZ-CAP^® v. 1.31 Scenarios Summary” is also available for download.

Downloads

SymKey® for EZ-CAP® v. 1.31 General Release.pdf
SymKey® for EZ-CAP® v. 1.31 Scenarios Summary.pdf

Scheduling

HCIM will be scheduling SymKey^® for EZ-CAP^® v. 1.31 upgrades beginning on Monday, April 12, 2010. The upgrade should take between 2-3 hours to complete. Please contact HCIM Product Support at (888) 454-0202, ext. 2, or e-mail support@hcim.com to discuss and schedule your upgrade.

Webinars

HCIM will be hosting a series of SymKey^® for EZ-CAP^® v. 1.31 training webinars during the week of April 19th – more information to follow.

HCIM has developed two new standard scenario actions for incorporation into the SymKey^® for EZ-CAP^® v. 1.31 Professional and Hospital Claims modules, which will add the functionality to accurately copy or reverse a claim, with or without repricing the contract values in the claim detail lines.

Create Exact Claim Copy Scenario Action
With the new “Create Exact Claim Copy” action, SymKey will create an “exact” copy of another claim (the header and detail lines with Adjustment Reason codes and amounts will be copied, memos can optionally be copied, processing statuses and notes will not be copied). SymKey can copy claims in status 1, 2, 3, 5, and 9, and will not reprice the new claim unless it is directed to by another selected scenario action.

This action can be combined with any other actions in the Professional and Hospital Claims modules, except for the “Claim Note Only,” “Delete,” and “Reprocess/Pend” special actions. With this new functionality, it will be easy to copy and re-process paid claims within a single SymKey batch. All selected scenario actions aside from the “Create Exact Claim Copy” action will only be applied to the newly copied claim, leaving the original claim untouched.

This scenario action will be useful for splitting claims with a DOS that spans a benefit or contract renewal date, or to appropriately divide financial responsibility.

Reverse Scenario Action
With the new “Reverse” action, SymKey will negate the quantity of a line (Billed Charge and Contract Value) and reverse benefit accumulators. It will also reverse all other amounts on the line (positive amounts become negative and negative amounts become positive), resulting in a reversed (negative) net pay. SymKey can either reverse all lines or specified lines on the claims, with some restrictions.

This action can be combined with any other actions in the Professional and Hospital Claims modules, except for “Claim Note Only,” “Delete,” “Reprocess/Pend,” “Copay Allow Only One…,” and “Copay Adjust Negative Net Pay.” SymKey is able to reverse claims in status 1, 2, 3, and 5. SymKey is also able to reverse previously paid status 9 claims by copying them first (when combined with the “Create Exact Claim Copy” action).

If the “Re-price Claim Lines” action is not selected, SymKey will ignore EZ-CAP’s automatic re-price when the quantity is made negative and will enter the original Contract Value, Deductible, and Copay values in negative form.

This scenario action will be a helpful tool in correcting payments to incorrect providers or members.